Use of aerosol protective barrier in a patient with impending cholangitis and unknown COVID-19 status undergoing emergency ERCP during COVID-19 pandemic

WHO declared worldwide outbreak of COVID-19 a pandemic on 11 March 2020. Healthcare authorities have temporarily stopped all elective surgical and endoscopy procedures. Nevertheless, there is a subset of patients who require emergency treatment such as aerosol-generating procedures. Herein, we would...

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Veröffentlicht in:	BMJ case reports 2020-07, Vol.13 (7), p.e236918
Hauptverfasser:	Leow, Voon Meng, Mohamad, Ikhwan Sani, Subramaniam, Manisekar
Format:	Artikel
Sprache:	eng
Schlagworte:	Adult Aerosols Anesthesia Betacoronavirus Bile bird flu Case reports Cholangiopancreatography, Endoscopic Retrograde - instrumentation Cholangiopancreatography, Endoscopic Retrograde - methods Cholangitis Cholangitis - diagnosis Coronavirus Infections - prevention & control Coronaviruses COVID-19 COVID-19 diagnostic tests Disease transmission Emergency medical care Emergency Service, Hospital Endoscopy Female GI-stents Humans Hygiene Infections Innovations in Treatment Masks pancreas and biliary tract Pandemics Pandemics - prevention & control Personal Protective Equipment Pneumonia, Viral - prevention & control SARS-CoV-2 Severe acute respiratory syndrome coronavirus 2 TB and other respiratory infections Vital signs
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Zusammenfassung:	WHO declared worldwide outbreak of COVID-19 a pandemic on 11 March 2020. Healthcare authorities have temporarily stopped all elective surgical and endoscopy procedures. Nevertheless, there is a subset of patients who require emergency treatment such as aerosol-generating procedures. Herein, we would like to discuss the management of a patient diagnosed with impending biliary sepsis during COVID-19 outbreak. The highlight of the discussion is mainly concerning the advantages of concurrent use of aerosol protective barrier in addition to personal protective equipment practice, necessary precautions to be taken during endoscopy retrograde cholangiopancreatography and handling of the patient preprocedure and postprocedure.
ISSN:	1757-790X 1757-790X
DOI:	10.1136/bcr-2020-236918